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Katie Karamanis School Nurse

Meningococcal Conjugate (MenACWY) Vaccine - Effective July 1, 2021, a minimum of 2 doses of MenACWY vaccine. The first dose should be administered prior to entering 7th grade. The final dose should be administered prior to entering 12th grade.
Human Papillomavirus (HPV) Vaccine - Effective July 1, 2021, a complete series of 2 doses of HPV vaccine is required for students entering the 7th grade. The first dose shall be administered before the child enters the 7th grade. After reviewing educational materials approved by the Board of Health, the parent or guardian, at the parent's or guardian's sole discretion, may elect for the child not to receive the HPV vaccine.

Hepatitis A (HAV) Vaccine – Effective July 1, 2021, a minimum of 2 doses of Hepatitis A vaccine. The first dose should be administered at age 12 months or older.


Hello all and welcome to the Freedom High School Clinic page. My name is Elizabeth Karamanis and I have been a Registered Nurse for twenty years. I am new to Northern Virginia and Freedom High School. I am truly proud to be a member of Freedom’s staff. I can be reached during school hours by calling the main phone number 703-583-1405 or by email at [email protected]. Please feel free to contact me with any questions or concerns that you may have

Parents, it is very important that your student maintains good attendance. They can’t learn if they are not in school. However, there are some situations where the school may have to send your student home. These are also reasons why you may need to keep your child home:

  • Fever of 100 degrees F or higher. Students have to be fever-free for at least 24 hours without the use of fever-reducing medications.
  • Contagious infections such as Pink eye or Strep throat. These illnesses must be treated for at least 24 hours with prescription medication before returning to school.
  • Unexplained rash
  • Head injury
  • Colds with constant cough, thick nasal discharge or difficulty breathing.
  • Diarrhea or vomiting
  • Stiff neck related to fever or injury
  • In case of illness outbreak in the schools, students that are inadequately vaccinated.

Parents, please become familiar with some common Prince William County Regulations that govern a lot of our clinic practices:

Asthma/Asthma Action Plan Regulation 757-5

Allergy/Allergy action Plan Regulation 757-2

Diabetes forms/Treatment Plan Regulation 757-6

Seizure Regulation 757-7

Emergency Treatment form Regulation 757-3

Medication administration form Regulation 757-4

Regulations and forms can be viewed and or downloaded by visiting Policies and Regulations on the PWCS home page. 


Parents, a lot of illness that your student may come in contact with are vaccine-preventable. Virginia state law requires that any student attending a public school must provide that school an updated immunization certificate/record. Any time that your child’s immunizations are updated, please send a copy in for the school nurse.

Immunization Requirements per VDH

Parents of Graduating Seniors of Freedom High School:

Please speak with your health care provider regarding your student’s vaccination status. They must have a current TdaP vaccination and should have a completed Hepatitis B series. Some other vaccinations that are recommended for this age group are:

Meningitis: This is a very serious and possibly fatal disease. It is vaccine preventable. Please visit this website for more information:

Voices of Meningitis

HPV vaccination is now recommended for both males and females. This virus can cause cervical cancer and HPV related disease in both males and females. Please visit the Center for Disease Control’s website for more information on all vaccinations by visiting Vaccine Information .

Allergy Season is here!

Some of the most common symptoms that our kids may experience are:

~Runny/Stuffy nose


~Itchy nose/ears

~Red, itchy, watery eyes

Some common triggers are Ragweed, pollen or dander. Some students can easily be treated with over the counter medications-some that are just once a day dosing. ALWAYS check with your doctor to see which medication is appropriate for your child and his/her symptoms. As mentioned before, any over the counter or prescription medication must be accompanied by the appropriate documentation and signatures before it will be dispensed to your student.


With growing concerns of prescription drug abuse and medication polluting our water supplies we offer a guide about how to properly dispose of Prescription Drugs.


1 Remove medication from its original container
2. Dissolve or crush into coffee grounds or kitty litter
3.Place in container with lid or sealable bag to prevent leaking
4. Scratch out any identifying information off the bottle or package before discarding.

DO NOT dispose of medication in the toilet or sink
DO NOT give medication to friends or family



Handwashing can reduce the risk of respiratory infections by 16%*

To help stop the spread of germs:

Remember to:

  • Wash your hands after coughing or sneezing.
  • Cover your mouth and nose with a tissue when you cough or sneeze.
  • Put your used tissue in a waste basket.
  • If you don't have a tissue, cough or sneeze into your upper sleeve, not your hands.
  • Wash with soap and water, or
  • If soap and/or clean, running water are not available, use an alcohol-based product containing at least 60% alcohol.
*Rabie T & Curtis V. Handwashing and risk of respiratory infections: a quantitative systematic review. 
Tropical Medicine & International Health. 2006;11(3):258-67.


Important Links!
These internet links will assist in getting you information for use throughout the school year.



PWCS website